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15060200-SMOKE/WATER/SPEC INSPSMOKE / CARBON MONOXIDE ALARMS OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION C U P E RT I N O 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 (408) 777-3228 • FAX (408) 777-3333 • building(a.cupertino.orp % Ve- Permit No Address - # of Alarms Smoke: Carb Md F11 L L V"15 PC6 CSD I TNTAT I:I) i 1) C()l1i'[ I; i 11) UNI I'll, I'IIIS cluz-u nick I I' l PURPOSE This affidavit is a self -certification for the installation of all required Smoke and Carbon Monoxide Alarms for compliance with 2013 CRC Section R314, 2013 CBC Sections 420.6 and 907.2.11.2 where no interior access for inspections are required. GENERAL INFORMATION Existing single-family and multi -family dwellings shall be provided with Smoke Alarms and Carbon Monoxide alarms. When the valuation of additions, alterations, or repairs to existing dwelling units exceeds w $1000.00, CRC Section R314 and CBC Sections 907.2.11.5 and 420.6 require that Smoke Alarms and/or Carbon Monoxide Alarms be installed in the following locations: AREA SMOKE ALARM CO ALARM Outside of each separate sleeping area in the immediate vicinity of the bedroom(s) X X On every level of a dwelling unit including basements X X Within each sleeping room X Carbon Monoxide alarms are not required in dwellings which do not contain fuel -burning appliances and that do not have an attached garage. Carbon monoxide alarms combined with smoke alarms shall comply with CBC Section 420.6 and shall be approved by the Office of the State Fire Marshal. Power Supply: In dwelling units with no commercial power supply, alarm(s) may be solely battery operated. In existing dwelling units, alarms are permitted to be solely battery operated where repairs or alterations do not result in the removal of wall and ceiling finishes or there is no access by means of attic, basement or crawl space. Refer to CRC Section R314 and CBC Sections 907.2.11.4 and 420.6.2. An electrical permit is required for alarms which must be connected to the building wiring. As owner of the above -referenced property, I hereby certify that the alarm(s) referenced above has/have been installed in accordance with the manufacturer's instructions and in compliance with the California Building and California Residential Codes. The alarms have been tested and are operational, as of the date signed below. I have read and aqree to comply with the conditionsaof this statement .wr,.� 0 _, — , �; W��mjj I. W, P ep—n ME lljiiiij Smoke and CO form.doc revised 03/18/14 CUPERTIN© Owner Name 7k!� ��e Address �2_ 30 ZIS WATER -CONSERVING PLUMBING FIXTURES OWNER CERTIFICATE OF COMPLIANCE COMMUNITY DEVELOPMENT DEPARTMENT • BUILDING DIVISION 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 ( 8) 777-3228 • FAX (408) 777 i a L I ,inn q �F�I LES PERMIT CANNOT BE FINALED AND COMPLETED UNTIL THIS CERTIFICATE IIAS BEENSIGNED AND RETURNED TO THE BUILDING DIVISION Please refer to the attached California Civil Code Sections 1101.1-1101.8 which are part of this Certification form. Is your real property a registered historical site? ❑ Yes Civil Code Sections 1101.1 through 1101.8 do not apply. Sign below and skip the rest of the Owner' Signature: Date:IZ� Go to Question 2. /form. / ((( Does your real property have a licensed plumber certifying that, due to the age or configuration of the property or its plumbing, installation of water -conserving plumbing fixtures is not technically feasible? ❑ Yes Civil Code Sections 110 1. 1 through 1101.8 do not apply. ❑ The licensed plumber's certification has been provided to the Building Division. Sign below and skip the rest of the form. Owner' Signature: Date: No Go to Question 3. 3. Is water service permanently disconnected for your building? ❑ Yes Civil Code Sections 1101.1 through 1101 do not ap ly. Sign below and skip the rest of the form. Owner' Signature: Date: / Cr $No Go to Question 4. I IICY/l�! 4. Is your real property built and available for use or occupancy on or before January 1, 1994? ❑ No My real property is built and available for use or occupancy after January 1, 1994. Civil Code Sections 110 1. 1 through do no ly. Sign below and skip the rest of the form. Owner' Signature: Date: —7 Yes My real property is built and available for use or occupancy on or before January 1, 1994. Civil Code Sections 1101.1 through 1101.8 apply. Refer to the attached. 0 My property is a single-family residential real property. See Civil Code Section 1101.4. VVVVVV ___On and after January 1, 2014, building alterations or improvements shall require all non-compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures throughout the building. On or before January 1, 2017, all non-compliant plumbing fixtures shall be replaced with water -conserving plumbing fixtures (regardless of whether property undergoes alterations or improvements). ❑ My property is a multifamily residential real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water - conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). ❑ My property is a commercial real property. See Civil Code Section 1101.5. On and after January 1, 2014, specified building alterations or improvements shall require non- compliant plumbing fixtures to be replaced with water -conserving plumbing fixtures. SB407 201 S.doc revised 02104115 On or before January 1, 2019, all non-compliant plumbing fixtures shall be replaced with water- conserving plumbing fixtures throughout the building (regardless of whether property undergoes alterations or improvements). I/We, the owner(s) of this property, certify under penalty of perjury that non-compliant plumbing fixtures will be replaced prior to date specified above with water -conserving plumbing fixtures in accordance with Civil Code Sections 1101.1 ough 1101.8, the current California Plumbing Code and Californi�G,� en Buildmi Pttandards Code, and manufacturer's installation requirements, and that the water -conserving plumbinp, fn�omtply wilkltrequirements as indicated in the table below. Owner's (or Owner Agent's) Signature: Date: 4'1 1 Upon completing and signing this Certificate, please return it to the Building Division in order to final your permit. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015.doc revised 02/04/15 Non -Compliant Water -Conserving Plumbing Fixture Plumbing Fixture (Fixture Complying with Current Code Applicable to New Construction) Maximum Water Usage/Flow Rate Fixture Type Water Usage 2013 CPC Ch. 4 2013 CPC Ch. 4 2013 CPC Ch. 4 /Flow Rate 2013 CALGreen Div. 4.3 2013 CALGreen Div. 4.3 2013 CALGreen Div. 5.3 Single -Family Multi -Family Commercial Residential Residential Water Closets Exceed 1.6 Single flush toilets: 1.28 gallons/flush (Toilets) Gallons/flush Dual flush toilets: 1.28 gallons/flush effective flush volume (the composite, average flush volume of two reduced flushes and one full flush Urinals Exceed 1.0 0.5 gallons/flush Gallons/flush Showerheads Exceed 2.5 2.0 gallons per minute @ 80 psi. Also certified to the performance criteria of gallons per minute U.S. EPA WaterSense Specification for Showerheads (A hand-held shower is considered a showerhead.) For multiple showerheads serving one shower, the combined flow rate of all showerheads and/or other shower outlets controlled by a single valve shall not exceed 2.0 gallons per minute @ 80 psi, or the shower shall be designed to allow only one shower outlet to be in operation at a time. Faucets — Exceed 2.2 gallons Maximum 1.5 gallons per Within units: 0.5 gallons per minute @ 60 Lavatory per minute minute @ 60 psi; minimum Maximum 1.5 gallons psi Faucets 0.8 gallons per minute @ per minute @ 60 psi; 20 psi minimum 0.8 gallons per minute @ 20 psi In common and public use areas: 0.5 gallons per minute @ 60 psi 1.8 gallons per minute 60 psi Faucets — Exceed 2.2 gallons 1.8 gallons per minute @ 1.8 gallons per minute 1.8 gallons per minute @ 60 Kitchen per minute 60 psi @ 60 psi psi Faucets May temporarily increase May temporarily up to 2.2 gallons per increase up to 2.2 minute @ 60 psi, and must gallons per minute @ default to maximum 60 psi, and must 1.8 gallons per minute @ default to maximum 60 psi 1.8 gallons per minute Where faucets meeting @ 60 psi the above are unavailable, Where faucets meeting aerators or other means the above are may be used to achieve unavailable, aerators or reduction. other means may be used to achieve reduction. 1. If the existing plumbing fixture water usage/flow rate is equal to or lower than the figure shown, it is not required to be upgraded. SB407 2015.doc revised 02/04/15 CA I LE Peters & Ross Geoaad*jcWA5 July 22, 2015 Project No. 15150.001 Mr. Ramon Luna 23025 Voss Avenue Cupertino, CA 95014 Pool Demolition and Backfill Observations and Testing Dear Mr. Luna: RECEIVED JUL 2 7 2015 Pursuant to the request of Mr. Carlos Velasco of Pool -It -Out, Peters & Ross observed that a 4 foot by 4 foot hole was punched in the deep and shallow floor of the pool shell and the side walls were broken down 36 inches. The concrete was broken down into 6 to 8 inch pieces and mixed into 6 inches of Caltrans Class 2 permeable materials. Filter fabric was placed over the top of the mixture. Mr. Brad Hillebrandt obtained a sample of the backfill materials on July 17, 2015, and performed a laboratory density test (ASTM D- 1557-12). The test resulted in a maximum density of 116.0 pounds per cubic foot (pcf). Engineered fill was then placed and compacted in 8 inch loose lifts and we tested the pool backfill located behind the existing house at 23025 Voss Avenue in Cupertino, California. Mr. Hillebrandt performed field density tests using Nuclear Probe Method ASTM 6938- 10. Mr. Hillebrandt's field density test results are summarized in the attached Table A. All field density tests in the pool fill exceeded 90 percent of ASTM D-1557. It is our opinion that the engineered fill was placed and compacted in general accordance with the geotechnical standard of practice. This completes our construction observation and testing services. If you have any questions, please call. Very truly yours, Peter K. Mundy, P.E., G.E. G.E. No. 2217 r LU No. 2217 Xs Expires —& `rjq� cc' p T E 0 H 114 Hopeco Road, Pleasant Hill, CA 94523 Phone: (925) 942-3629 Fax: (925) 665-1700 Email: PetersRoss@aol.com LUNA RESIDENCE POOL INFILL 23025 Voss Avenue Cupertino, California TABLE A FIELD DENSITY TEST SUMMARY Date Eft"' Moisture Dry Max. Dry Degree of Min. Comp. Not of Test Location Operation Content Density Density Compaction Specified Curve No. Pass/Fail (%) (Pcf) (Pcf) (%) (%) 1 7/17/15 Left Side FG Fill 12.7 110.0 116.0 94.8 90 1 Pass 2 7/17/15 Middle FG Fill 12.3 111.0 116.0 95.7 90 1 Pass 3 7/17/15 Right Side FG Fill 14.8 113.2 116.0 97.6 90 1 Pass 1. Field density tests performed using Nuclear Probe Method ASTM 2922-96 and ASTM 3017-96. 2. Approximate elevations of tests determined from observations of grade stakes at the site. 3. Abbreviations used on the table refer to the following: No. = number Elev. = elevation ft = feet % = percent fg. = finished grade pcf = pounds per cubic foot Max. = maximum Min. = minimum Comp. = compaction 7/22/2015 Peters & Ross Page 1 of 1 1 r July 22, 2015 Project No. 15150.001 Mr. Ramon Luna 23025 Voss Avenue Cupertino, CA 95014 Peters & Ross Cvotecxdcar& Pool Demolition and Backfill Observations and Testing Dear Mr. Luna: Pursuant to the request of Mr. Carlos Velasco of Pool -It -Out, Peters & Ross observed that a 4 foot by 4 foot hole was punched in the deep and shallow floor of the pool shell and the side walls were broken down 36 inches. The concrete was broken down into 6 to 8 inch pieces and mixed into 6 inches of Caltrans Class 2 permeable materials. Filter fabric was placed over the top of the mixture. Mr. Brad Hillebrandt obtained a sample of the backfill materials on July 17, 2015, and performed a laboratory density test (ASTM D- 1557-12). The test resulted in a maximum density of 116.0 pounds per cubic foot (pcf). Engineered fill was then placed and compacted in 8 inch loose lifts and we tested the pool backfill located behind the existing house at 23025 Voss Avenue in Cupertino, California. Mr. Hillebrandt performed field density tests using Nuclear Probe Method ASTM 6938- 10. Mr. Hillebrandt's field density test results are summarized in the attached Table A. All field density tests in the pool fill exceeded 90 percent of ASTM D-1557. It is our opinion that the engineered fill was placed and compacted in general accordance with the geotechnical standard of practice. This completes our construction observation and testing services. If you have any questions, please call. Very truly yours, Peter K. Mundy, P.E., G.E. G.E. No. 2217 W No. 2217 Expires_ 712 07ECHN��'��\' 0� CAl1F0 114 Hopeco Road, Pleasant Hill, CA 94523 Phone: (925) 942-3629 Fax: (925) 665-1700 Email: PetersRoss@aol.com LUNA RESIDENCE POOL INFILL 23025 Voss Avenue Cupertino, California TABLE A FIELD DENSITY TEST SUMMARY Date Eft v' Moisture Dry Max. Dry Degree of Min. Comp. Not of Test Location Operation Content Density Density Compaction Specified Curve No. Pass/Fail (%) (Pcn (Pcf) (%) (%) 1 7/17/15 Left Side FG Fill 12.7 110.0 116.0 94.8 90 1 Pass 2 7/17/15 Middle FG Fill 12.3 111.0 116.0 95.7 90 1 Pass 3 7/17/15 Right Side FG Fill 14.8 113.2 116.0 97.6 90 1 Pass 1. Field density tests performed using Nuclear Probe Method ASTM 2922-96 and ASTM 3017-96. 2. Approximate elevations of tests determined from observations of grade stakes at the site. 3. Abbreviations used on the table refer to the following: No. = number pcf = pounds per cubic foot Elev. = elevation Max. = maximum ft = feet Min. = minimum % = percent Comp. = compaction fg. = fmished grade 7/22/2015 Peters & Ross Page 1 of 1